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General NPI Number Information
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NPI Number | 1104377753
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Entity Type | Organization
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Legal Business Name | BETTER DAYS THERAPY
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 301 S LIVINGSTON AVE FL 2
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3932
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Country | US
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Telephone | 973-629-1001
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Fax | 973-629-1003
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Provider Business Mailing Address
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Address Line | 128 COLFAX AVE
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City | POMPTON LAKES
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State | NJ
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Zip | 07442-1711
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Country | US
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Telephone | 973-224-5992
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN J DELLA PENNA
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Credential | LPC
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Telephone | 973-224-5992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 37PC00552400
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License Number State | NJ
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